State and Local Area Integrated Telephone Survey (SLAITS)

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
6812	State and Local Area Integrated Telephone Survey (SLAITS)	Migrated

ICR Details

OMB Control No: 0920-0406	ICR Reference No: 199812-0920-005
Status: Historical Active	Previous ICR Reference No: 199702-0920-002
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: State and Local Area Integrated Telephone Survey (SLAITS)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/15/1999
	Date Received in OIRA: 12/29/1998
Terms of Clearance: OMB is providing a conceptual clearance for this collection at this time based on this and the previous SLAITS submission. Approval is granted on the following conditions: prior to pilot testing any instrument or new module, NCHS must provide a copy of the instrument along with a complete description as to the purposes of the new module and how it will be used to OMB for approval. A document addressing the information requested in section B of the supporting statement that addresses any information particular to the new module would satisfy this requirement. OMB will review and respond to the submission in a timely manner and, once it is approved, will amend the file accordingly. In addition, NCHS shall provide annual updates of SLAITS including plans to introduce new instruments or modules, plans to expand SLAITS to additional sites, or any other changes. Prior to implementing the mini-HIS beyond the original test sites, NCHS must brief OMB_on this effort including the status of methodological issues discussed on pages 14-16 of the submission. Any request to expand SLAITS beyond the initial sites must be accompanied by OMB form 83C to account for this additional burden._ Before expanding SLAITS nationally, NCHS must resubmit this package for OMB approval.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2002	03/31/2002	03/31/1999
Responses	215,384	0	5,500
Time Burden (Hours)	89,743	0	1,833
Cost Burden (Dollars)	0	0	0

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Abstract: The State and Local Area Integrated Telephone Survey (SLAITS) will provide State-level estimates on a wide range of health, health insurance, and welfare-related topics to help track and monitor changes in health and welfare outcomes. SLAITS can provide both general purpose health statistics and targeted population statistics for special studies.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
State and Local Area Integrated Telephone Survey (SLAITS)

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	215,384	5,500	0	209,884	0	0
Annual Time Burden (Hours)	89,743	1,833	0	87,910	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/29/1998

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